The client has 2+ pitting edema of the lower extremities. Which of the following most accurately evaluates the effectiveness of therapy?

On admission to the hospital, the patient’s serum sodium is 125 mEq/L. Which of the following statements accurately describes the pathophysiologic effect at the cellular level?

The physical assessment of a patient with new onset cardiac dysrhythmia, reveals hypoactive bowel sounds, muscle weakness and flaccidity. Which of the following laboratory results are consistent with these findings?

The 85-year old man with fever and dehydration is restless, agitated and confused. He exhibits muscle twitches and his skin is warm and flushed. The mucus membranes are very dry and sticky. Which imbalance is he most likely experiencing?

The posterior pituitary gland secretes ADH in response to which one of the following?

The nurse explains to a patient with Vancomycin-Resistant Enterococcus (VRE) that resistant organisms evolve by which of the following?

It is important for the nurse to be aware that the elderly are at higher risk for fluid volume deficit. What condition is a cause for fluid volume deficit in this population?

The nurse should understand that a patient who is experiencing hyperosmolarity in the vascular space will exhibit which of the following?

You are the charge nurse of a medical-surgical unit. Recently, your hospital implemented Bar Code Medication Administration (BCMA) to reduce medical errors and promote safety. You learn that some nurses are overriding the system. Some RNs do not awaken the patients to scan their barcodes before administering an IV push medication and scan the chart label instead. Some RNs have overridden the barcode warning, assuming that it was a technological glitch. Other RNs are charting that medications were given when they have been left at the bedside. Your staff members state that they understand that BCMA reduces errors, but it is more time consuming and there are equipment issues.(10 points) List 3 driving factors which would facilitate this change moving forward and 3 restraining factors which might be hindering the change.(10 points) Describe 3 strategies you could employ now to promote Lewin’s refreezing stage of the new BCMA system.

You are assigned to a young adult patient, who is being admitted to the unit following a severe head injury. After a long stay in the ICU, it has been determined that the patient will probably remain in a persistent vegetative state (Unresponsive Wakefulness Syndrome). The patient’s parents disagree on the next course of action, specifically about insertion of a feeding tube and ongoing care in a long-term care facility, versus foregoing additional treatments.Describe the ethical principles of beneficence and nonmaleficence and articulate how each of these principles could be considered in determining the most appropriate nursing treatment for this young adult patient.